Sales Booking Form

BOOK YOUR DAIHATSU ONLINE

You can now place a booking request of your preferred Gran Max with us online.

Step 1

Browse our Daihatsu Gran Max models and check out the latest promotions

Step 2

Fill in your details in the Sales Booking Form. Please provide us with all the relevant information

Step 3

Once completed, click on the Submit button. Be sure to double-check your details before submitting

Step 4

Thanks for choosing Daihatsu. Our friendly Sales Agents will get in touch with you for next steps.

All fields marked with an asterisk (*) are required.

Sales Booking Form

If you are human, leave this field blank.

Select Model*

Pickup

Van

Select Variant*

Full Name / Company Name*

Contact No.*

Email Address*

Customer Profile*

Fleet / Corporation

Individual / SME

I would like to visit a Daihatsu showroom*

Yes

Preferred State*

Preferred Showroom Location*

Preferred Date*

Preferred Communication Mode*

Additional Request

Sales Advisors referral name or additional request (if any)

Checkboxes*

I confirm that I am a valid holder of a full driving license, and by participating in a test drive, I agree to adhere to the Terms and Conditions set forth by Daihatsu (M) Sdn. Bhd.

Checkboxes*

I have read and agree to the Personal Data Protection Notice as posted on Personal Data Protection ("PDP Notice") and consent to Daihatsu (M) Sdn. Bhd. (including its authorized dealers) processing my personal data in accordance with the PDP Notice.

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